REDACTED - DARLENE E. LADEHOFF #958071.PDF

John M. Allen, Treasurer
301 West Jefferson St., Rm. 100

l Phoenix, Arizona 85003
M A R) C Oo PA C '@) U N TY __ Phone: (602) 506-8511

TREASURER’S OFFICE

To: Clerk of the Board
clerk.agenda@maricopa.gov
Dorene.Stretar@Maricopa.Gov

From: Treasurer's Office VL
Maria Quitangon
maria.quitangon@maricopa.gov
602-506-1958

Cathy Sanchez C1 be

cathy.sanchez@maricopa.gov
602-506-7881

Re: Stale Dated Warrant

Name Warrant Amount | Dept/School
No
DARLENE E LADEHOFF 958071 $406.23 | Treasurer

Application for a Duplicate or Stale-Dated Warrant/ Check

Affidavit/Claim Form “oun aS

This application is for: '”./Duplicate or yi Stale-Dated (definitions are on page 2)
STATE OF ARIZONA . Note: Numbers on this form correspond to numbers on the
COUNTY OF MARICOPA Instruction sheet which is page 2 of this form.

Liu ie nA ZL aclel D (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about 2 Ufo 3 (date)(2) a warrant/check was issued to the
above named person/entity “t in the amount as stated below. Such warrant/check was
either never received or was subsequently inadvertently lost or destroyed and there is
no reasonable probability of its being found or presented for payment, or it was not
presented for payment within one year after the date of issuance.

Therefore, under penalty of perjury, claimant hereby affirms that this claim is correct
and the amount shown is due and owing, and the applicant requests that a replacement

warrant/check be issued to him/her in the sum of $ of 0 G- 23 (3)

Signed: Marlene! atid (4)
Print name: (required) <D qr le ne fae

Note. Please attach a copy of the warrant/check if available and/or any other
evidence that a warrant/check was originally issued.

(5) Subscribed a > me this _(@**__day of December 2024 .

NOTARY PUBLIC ———_ Phoebe Byrd

Notary Public
Maricopa County, Arizona
My Comm. Expires 08- oi i” |
“Commission No(§eq

My commission expires:
OB - 20-2627

Warrant/Check Number

(if known) (6) X Olsr7/
Original Date of Issue
(if known) (7) EY, LH / 23
Reason for original issue of Warrant/Check (8):
O Payroll

O For Services or Goods furnished

Treasurer's ae.

O Other: =W) awe Bt piel Agel WZ
S:\PROCESSES\Warrants - Duplicate or Sale\o2 Forms\Current Claim Form\100518 Warrants Checks | notice of claim.doc
Revised 100518 A.R.S. 11-632 & 11-644
VERIEIEP
IL} 07 |r9

Mie

Maricopa County Treasurer's office 173-30-484 5 12/27/2024 9:07:45 AM

|
Pl 173-30-424 5 | = x
i

File Help
Year | Description | Act Date | Tran Num | Amount | Images | Pmt Date | Half Code | Aa
2022. TAX PAYMENT 2024-01-09 AS -41690 $1,196.73 N 2022-10-27 FF
2022 POST NEW TAX (RESOLUTION) 2024-01-09 AS -41690 $1,695.34 N
2022 CANCEL TAX 2024-01-09 AS -41690 $2,003.48 N
2022 RESTORE TAX 2024-01-09 AS -41690 $1,196.73 N F
2022 RESTORE TAX 2024-01-09 AS -41690 $806.75 N F
2023. TAX PAYMENT 2023-10-12 MO -A171 $1,052.46 N 2023-10-11 1
2023. INFO STATEMENT 2023-08-26 N
v.

2023 TAX BILL 2023-08-26

i REFUND h v
< >
Parcel #: [173-30-484 Activity: JREFUND Act Date:05/31/23
Tax Year: [2022 Tran # [- | Act Time {i200 AM

Activity Detail | Address Detail |

cP# fp =~=—6h| | Check Date: [05/31/23
|
| Buyer#: [0 Check #: [958071
| Fund: aor we Refund Amount: [ $406.23
|
| Click icon for Disbursements Inquiry. -----> Bal
|

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Maricopa County Treasurer's Office
AM

Refund ID 2023009547 RESOLUTION

& Refund ID 2023009547 RESOLUTION
File Help

3)

Refund Amount: [$406.23

Requester: |RESOLUTIONS on 5/30/2023

Refund Reason: [Resolution has reduced taxes |

Status; [DISBURSED on 5/30/2023

Slip ID; |202300248

Address:

Impounds | Stub | Comments |

Shh bese Lee tire ested hare

Check Request [RESO DESK

Reference #: |RES #02131

Parcel/Roll:|17330484 Dest fund: [026

READ} ~—scP#:

Source Fund | Linked | Amount | TaxYear | Status
033 True $406.23 2022
<

o Reso #: jaisi
CPhwert:[0 Phase #: feo

Mottgage code: [

Impound Total: 1 |

Transaction #: [RS 02191
Case #: J

| Wee eee Ses st

12/27/2024 9:08:39